[Thrombectomy in primary angioplasty].
Primary percutaneous coronary intervention is the standard treatment in patients with ST-segment elevation myocardial infarction achieving a TIMI 3 flow in more than 90% of patients. However, despite a brisk epicardial coronary flow in the infarct-related artery, frequently post-ischemic microvascular damage limits the efficacy of primary PCI. Recent studies suggest that thrombectomy during primary PCI, in patients with intracoronary angiographically visible thrombus, represents a useful adjunct to pharmacotherapy able to prevent distal embolization.
Sardella
Gennaro
G
Dipartimento di Scienze Cardiovascolari, Respiratorie e Morfologiche, Sapienza Università di Roma, Policlinico Umberto I, Roma. rino.sardella@uniroma1.it
Mancone
Massimo
M
Di Roma
Angelo
A
Benedetti
Giulia
G
Fedele
Francesco
F
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D004867:Equipment Design; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D017131:Thrombectomy / Q000295:instrumentation; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy*